Merry, Kathleen

Merry, Kathleen is an individual health care provider with primary practice located at 905 Franklin St , Waterloo IA 50703-4407. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Merry, Kathleen can be contacted via phone (319) 272-4300.

Contact Information

Primary practice address
905 Franklin St Waterloo IA 50703-4407
Phone: (319) 272-4300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X C-070768 Iowa

Profile Details

NPI number 1306821160
LBN Legal business name Merry, Kathleen
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Apr 30th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306821160 NPPES
Iowa MEDICAID 0076372
Iowa Other 17879

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